摘要
目的探讨输尿管镜碎石术后严重出血发生原因及防治措施。方法分析1 896例应用输尿管镜碎石术治疗输尿管结石患者的临床资料,并复习相关文献,分析并探讨输尿管镜碎石术后严重出血的发生及相应处理措施。结果所有接受输尿管镜碎石术的患者术后均有不同程度的血尿发生,其中严重出血15例(0.79%),9例经过止血、输血等治疗血尿缓解,6例经过再手术止血等治疗血尿停止。结论输尿管镜碎石术后严重出血发生可能性较小,但后果可能非常严重,术中熟练操作和术后积极处理有利于防治输尿管镜碎石术后严重出血的发生。
Objective To discuss about the causes and treatment of severe hemorrhage after ureteroscopic lithotripsy.Methods To summary the causes and treatment of severe hemorrhage of ureteroscopic lithotripsy.We analyzed 1896 cases of ureteroscopic lithotripsy and reviewed related literatures.Results Different degrees of hematuria occurred in all cases,and 15 cases suffered from severe hematuria.To relieve bleeding,9 patients received conservative treatment,but other 6 patients had to re-operation.Conclusion The probability of severe bleeding is small after ureteroscopic lithotripsy,but the consequences could be very serious.Postoperation properly treatment as well as proficiency skill of operation will help control severe bleeding after ureteroscopic lithotripsy.
出处
《重庆医学》
CAS
CSCD
北大核心
2010年第22期3067-3068,共2页
Chongqing medicine
关键词
输尿管镜
并发症
严重出血
ureteroscopy
complication
severe hemorrhage
